Family therapy and counseling in Mesa, AZ

I am a double board-certified Psychiatric–Mental Health Nurse Practitioner with over 20 years of experience across the continuum of psychiatric care, including acute psychiatric emergencies, inpatient and outpatient psychiatry, geriatric mental health, intellectual and developmental disability services, and healthcare management. I hold a Master of Science in Nursing (MSN) and am currently completing my Doctorate, reflecting my ongoing commitment to clinical excellence, evidence-based practice, and lifelong learning.

Throughout my career, I have worked with individuals and families navigating a wide range of psychiatric conditions, from situational anxiety and depression to severe and persistent mental illness. My clinical experience includes extensive work with schizophrenia and psychotic disorders, bipolar disorder, major depressive disorder, generalized anxiety disorder, panic disorder, obsessive–compulsive disorder (OCD), trauma-related conditions, and mood instability across the lifespan. I am particularly experienced in caring for geriatric patients, individuals with intellectual and developmental disabilities, and patients with complex medication regimens requiring careful evaluation, simplification, and long-term stabilization.

I also work closely with college-aged patients and adults who are navigating academic pressure, career transitions, family dynamics, identity development, and the cumulative stressors that can emerge during periods of high responsibility or change. Many of my patients are high-functioning individuals who appear “put together” on the outside but struggle internally with anxiety, rumination, intrusive thoughts, emotional dysregulation, or burnout. Others are managing chronic psychiatric illness while striving to maintain independence, relationships, and quality of life.

I have extensive experience working with families—including both birth and foster families—involved in DCS care, as well as individuals navigating substance use and mental health challenges such as depression, anxiety, and grief. Through this work, I have supported clients in managing complex family dynamics, coping with loss and transition, and building skills to support long-term stability and well-being.

Most recently, I worked in a primary care setting, where I gained a deeper understanding of the connection between physical and mental health. This experience has strengthened my awareness of how chronic health conditions can impact emotional well-being, stress levels, and overall quality of life. I integrate this perspective into my work, helping clients address both the emotional and practical aspects of living with ongoing health challenges.

I work best with driven people experiencing a big change. Perhaps, despite your best efforts, things aren’t working out as you’d hoped. Or perhaps you’ve gotten all you wanted and it doesn’t satisfy. I work often with D1 athletes & pros (as well as their family members). I love supporting the romantic partners of people in the public eye. Though I often work with athletes I am not a Sports Psych. In fact, I don’t even follow sports! I’m here for the rest of your life and identity.

Hi, I’m Nicole! Therapy with me is about real conversations, practical tools, and accountability. Clients often tell me they appreciate that I’m down-to-earth, supportive, and won’t let them slide. I bring a diverse background of both life and professional experience, allowing me to see multiple perspectives and help you navigate complex relationship dynamics.